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HomeMy WebLinkAbout0654 / 3~8~9'7 i - S, ~~8~ ; CERTIFICATE OF DEnTH , . I~M1rM~IIle~I1~u~R.~1.lI1hNHStnMn . •Mt~ nt~ ao.------_--- _ • ~ ~~~tv~~~r.~t~ FLORIDJ? aro~ctn~n~ ?~0 3~~~ . it?f. Of ~YNt W • N~Y1~IIfM INQ .v«~ sf• O~?! d H~M ••e.~.. u•u W Y~NM /M . 's"'~"~ ~ MAT L_F.AC}i R~?7_r:Y __I+Femalo , Ju1~14, 1971 , ' ut! w~». wrcw .w~r. ~01-uu we.. ~.e.. o.b~. owit t~ W~w ..o..w~. cow~. a a•~N j . • pt. 1 wtr~~ ~ MMr.. ~.~.H1 ap~ -1- Mq~ .~aM~ j H•• ~ ; 6602 '~ita w 84 I+. ~ Jan._13 1887 ~t. Lucie ; ~'~sijyjj~ .nw c.• ~r~n NOSMiIy O~ O1N[~ iliU~ ~M .o~ w~a.~~. ~wn u~ w~a ~ wc+. o~ +o ~ Ft. Pi~rae Yes 1102 York Avenue • A rN r~.\ r~rl WIM ~~1A'~T~t MA~~~(D. NfYIf Y1sK~0. IN~L'OVS~ 1~r ~N. ~~w ~uNr M~M 1 . (~F 1 ~O. OA~~ 11NCN ~ YNM~M?NK~,~ , Nev~t York USA ~ „~arriQ`Y Ralph L. Razey J__`~_ ~MM Nq~N~ - . _ ~M~ r~a~ yu ~l OCMinOa ~e~w aw e. .w. iew ~.w .wi a Kt~O O~ MISMSS O~ ~+OVStn OK1MN~ N ~M~~ ~W, h7M Y t~wls I . ~~053- 8- 433-H ~s e M~ker ~ ! ~ _Ow~_.tlome - i~3~De~= A OYut~ u~r, tOw?i. o~ ux~noi, ~..~n i~uti ~-?«w~ei' ~ Yes« ~ 110 2 York Ave . ,~lorida St.LLtcie Ft.Pierce ~ . MME - ~yM w~u t.,. ~uNi~Ir~iol?i?uul - +~wt . uv 'd ,s John t.cach ' AnneL-~e Osgood ~ ~ MAI~aG aM.1f ts ~~nu• t~ s..n . c..• M snw, v.x. ~ , Ral h L. RaZe ~,1102 Y~rk 11ve. Ft. Pierce Fla. 33~150 l OtAMMAf CMIftO ~t~ - 1lralf~ t?M~ O~+t UUt! M~ l!t! fW I~L AL ~+O fr~ __'^--~•rr~~~.. o.~~r ~~.s M.•. •r{ N - < <c~ .~~~,~,n ~?~~!~~~r~ ; _ _ . ; ~ ~ ~a..,.,e.. n t-T-~-S '~_-;-i C t ~Si ~ C' S."i'- : - ...t +i n? t ~ 1 i i ~ _ _ . _ _ . ~..~~..n c.r~~I~/~ i~Ti~'I~T~~ eT- ~ ~ ~I~hti~ IN ~+1~4 ~ ~ Q ~nr~ C~~M ~~t~ ~ ~ . ?wtl • OtNt~ ~CM~iNCOMO~f~OMl. tFM~Nr~ eo.+M.n+e .e w.e. ~...n• aun~ ~o e..u s..~r . y. ~UiO~lv M ri S ti. . ~w~ M w~ 1 Fs~~~~ -'..N? ~ / 1 M ~~~~r -~~~!J `Jr_l~°__ _ - p'~ajT~j7LL ~.e....~.•..t•i~ M~U~- NOw Ir~NM• OCCV~~tO ~~w~...~wnwro n.o•..w. +.~.u wr~ve! d~ ~ 7R 4 7Y ' _ ~rll - - ' ~N Af N My. • . Nt~1, ~K~W~. IOC~nON ~ s.~m o~ ~ r•+e . t-... n~ w..., a•n . ~W~w w~ M~ Mt~ W..IR rMfcrr/ . f ~ ~ ! lrf~TN~A~~1-~ MI •MM ~OAr M~ ~U~ ~r Wt Yw ~~r/N~ M OM 1~•~~e.r,~ ~r~ Y/ N~~M OC(Y~~Jts M~u~f. ~ V II~~~KYMt ~ ~b~Ir 'N~ N ~O~' Yq~ ~l~M.. ~'A~f /.i/ / ~~M. ~M. M M N~~ ~ ~~MrN~ w~ ~ r/~ TO I~ lJ,~: i = w r~ a.o.~w.+. s•~ ' h~ N~~~M~ ~W~ ~ 11l ~1/~ ~ 4' 1 ~1~ II~. ~r~'S. i jA t9 ~(~~M~N f~~he CE~~~U~ - : M~ YNf O~ tif ~ wOw p M~r ~K M~~1 ~KN Ny t~.rwe0+ Or rr bM w/W ti rqfti?bi., r w e?.re~. w•~ ~oN OttM~M M~ M\ M M~i r t~MIW H~A~. • M 7 M. ~ - N~.. M ~j{!~E ~ ~ nw~ a~~d+f r.ww~. r... 1b ~-i ~ ~'"i - r-11 L ~ Z- ~ 7 ` _ _ ~ ~ / +wn • r e ro ~o.~. _ a• ~J~' ~ ~ ~ ~w •t,'ti ~4 y ~ ~ ~ ( l, f~ r , ~ - ~I~AI. MAhD~~ O~ MAtO~t-N~W IO~Al10H ~~n ar v.n ~iMCrr~ i ,M Re~ttov - t« Delray Crematorium r.. Deir~ Beach Florida__ : • ~ a'Aj~ ~.y~~ Mt ~W ~ Al NOr+E-N1rf ~MO ~OM[fS r i:.r~~ o.~~ ..o . t... o~ fn~r, ~..n. ur ~ ~ wJul 16 19~1 Haird FuneYal fiom~~ 901 t3. 7th St. Ft.Pi~?-c~,T'1~.33450 ' ~ tW[ QGIS' ~-S~G~urW~ ~ / o~+~ ~arn~ n r~n em~f~.•• E r. s. tt , ~{!r', )f. •Te~ty 2a . ' `~?1 1 •~r.l~lo re. ~.~~t~ , ' ~ . - ~ I hereby osrtify thls fo he s trus ~nd oorrect copy o~f ths Locai Reglther's reco~d on Iile in tM Sf. tucls Couroy Heelth Depa~t- • ~ m~nf •t Fo?t Pieres. Florids. - _ -(Wkning: Not valid unless raised seal of the St. Luci~ • ~ Gounty Health Deparlmenl is affixed.) • . ; N. 0. MILIER, M. D. - ~,F , Gpuntr eal~h OFficer d. ivca) Regiaha~ ~ ~ ` ~ ~-H~~+ ~ILED ANO RECOROED ' / ! ~ ST_~~CIE COUNTY FlA- ~ . 0~1~ D~PlAI~ LoC~) Reoteuwr p..~G.ER PO~TRAS rc? C,R^vl1iT C ~ c, . . ~i, ~ ~ ~ ~ M;F 29 12 i2 PH'1~ . 3~19'7 ~ i ~ . ~ - ~ ~ 28~ ~ 6~i4 a~ } . ~ . ~ ~ ~ ~ : ~ . <